Individual
MICHAEL A PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1501 PROFESSIONAL DR, IMPERIAL, MO 63052-3809
(636) 547-7300
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 483-3791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
106797
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247691116
—
MO
Enumeration date
10/20/2006
Last updated
09/22/2025
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